Individual
KIRSTEN ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 GADSDEN HWY, BIRMINGHAM, AL 35235-3103
(205) 451-2093
Mailing address
1920 INDIAN LAKE DR, BIRMINGHAM, AL 35244-2217
(205) 451-2093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04506
AL
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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